Female reproductive system is usually affected with the abnormal growth of cyst. ovarian cyst diagnosis is a very devastating one some people. for nursing students knowing the process of illness pr...Full description
ECTOPIC PREGNANCY GROUP 4Full description
this document is made by the bsn2 block 2 group 1... with mr. abrea, me =0, ms. encarnacion, ms. aniban, ms. amandoron, mr. caina, mr. campilan, ms. bucad, ms.aviso, ms. cerillo and ms. conag..
respirationFull description
physiologyFull description
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very important question asked in MBBS first prof. askedFull description
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PREDISPOSING FACTORS LIFESTYLE (smoking) AGE (below 18 and above 35 years old) RACE (blacks)
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PRECIPITATING FACTORS STRUCTURAL FACTORS HISTORY OF PELVIC INFLAMMATORY DISEASE ENDOMETRIOSIS PREVIOUS TUBAL SURGERY UTERINE CURETAGE RENAL DISEASE OR TRANSPLANT IMPROVED TREATMENT FOR PID (prevents total blockage of tubes but may cause partial blockage) SURGICAL CORRECTIONS OF FALLOPIAN TUBE OCCLUSIONS ELECTIVE STERILIZATION BEING REVERSED AT LATER DATE
Fertilized ovum implants outside the uterus ABDOMINAL ECTOPIC PREGNANCY There is already tubal rupture thus fertilized ovum goes outside from the fallopian tube Attachment to some abdominal structure (liver, spleen, intestines, ovaries, broad
TUBAL ECTOPIC PREGNANCY (most
LEGEND: CERVICAL ECTOPIC PREGNANCY (rare)
fertilized ovum bypasses the uterine endometrium Implantation at the cervical mucus Painless bleeding begin shortly after implantation
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MATERNAL SIGNS AND SYMPTOMS
blastocyst burrows into the epithelium of the tubal wall (usually in the distal/ampullary two thirds of the fallopian tube)
BEFORE RUPTURE: - Abdominal pain - Amenorrhea - Abdominal vaginal bleeding - Absence of common signs of pregnancy - Abdominal tenderness - Palpable pelvic mass
tapping of blood vessels in the tube There is a decreased resistance to the invading trophoblastic tissue by the fallopian tube
decreased muscle mass lining the fallopian tubes
blood pressure is much higher in the tubal arteries than in the uterine arteries (where it is greatly limited)
There is limited decidual reaction; therefore human chorionic gonadotropin (hCG) is decreased and the signs and symptoms of pregnancy are limited.
abortion, spontaneous regression, or rupture (depends on gestational age and location of implantation)
EMBRYONIC DEATH
Maternal hemorrhage MATERNAL DEATH
DURING RUPTURE: - Exacerbation of pain AFTER RUPTURE: - Faintness/ dizziness - Abdominal pain Referred shoulder pain - Signs of shock (due to severity of
